Clinical Denial Analyst

Are you passionate about making a positive impact on patient care? Do you have a keen eye for detail and excellent analytical skills? If so, we have the perfect opportunity for you as a Clinical Denial Analyst at Deaconess Health System.In this role, you will play a crucial part in ensuring the accuracy and integrity of our healthcare system by identifying and resolving clinical denials. Your expertise will help us improve the overall patient experience and financial outcomes.To be successful in this position, you must have a strong clinical background and be well-versed in healthcare regulations and reimbursement processes. Your ability to collaborate with multiple stakeholders and communicate effectively will be vital in advocating for our patients and resolving denials.Join our team at Deaconess Health System and make a meaningful impact on the lives of our patients.

1. Conduct thorough reviews of denied claims and identify the root cause of the denial.
2. Utilize strong clinical knowledge and understanding of healthcare regulations to appeal denied claims.
3. Collaborate with multiple departments, including providers, billing, and insurance companies, to gather necessary information for appeals.
4. Analyze data and trends to identify patterns in denials and provide recommendations for process improvement.
5. Communicate with patients and their families to explain the denial and assist with any questions or concerns.
6. Maintain accurate and detailed records of denials, appeals, and outcomes.
7. Keep up-to-date with changes in healthcare regulations and reimbursement processes to ensure accuracy in appeals.
8. Advocate for patients and their rights to receive proper care and reimbursement.
9. Work closely with the revenue cycle team to ensure timely and accurate submission of appeals.
10. Participate in meetings and trainings to share knowledge and best practices with colleagues.

According to JobzMall, the average salary range for a Clinical Denial Analyst in Evansville, IN, USA is between $48,000 and $65,000 per year. This may vary depending on factors such as experience, education, and employer. Some employers may also offer additional benefits such as bonuses, healthcare, and retirement plans.

Deaconess was founded in 1892 by a group of Protestant ministers and laymen who felt called to care for the sick. More than 130 years later, Deaconess Health System continues to provide high-quality health care with a compassionate spirit, just as our founders envisioned. Deaconess Health System is the premier provider of health care services to 35 counties in three states (IN, IL, and KY). The system consists of eleven hospitals located in southern Indiana: Deaconess Midtown Hospital, Deaconess Gateway Hospital, The Women’s Hospital, The Heart Hospital, The Orthopedic and Neuroscience Hospital, Deaconess Cross Pointe, Deaconess Gibson Hospital, Deaconess Henderson Hospital, Deaconess Union County Hospital, Encompass Health Deaconess Rehabilitation Hospital, and the Linda E. White Hospice House.